Objective:To explore the clinical effects of acupuncture and repeated transcranial magnetic stimulation in patients with mild vascular dementia.Method:From May 2020 to May 2021,40 patients with mild vascular dementia ...Objective:To explore the clinical effects of acupuncture and repeated transcranial magnetic stimulation in patients with mild vascular dementia.Method:From May 2020 to May 2021,40 patients with mild vascular dementia in Harbin Fourth Hospital(our hospital)were divided into the experimental group(20 cases,using conventional drugs+acupuncture+repeated transcranial magnetic stimulation)and the control group(20 cases,for example,the application of conventional medication).The improvement of cognitive function score,sleep quality score,quality of life score,and cerebral hemodynamics before and after treatment were compared between the two groups.Result:Before treatment,the difference in cognitive function score,sleep quality score,quality of life score,and cerebral hemodynamic index between the two groups of patients did not form,that is,p>0.05;after treatment,the experimental group5s cognitive function score was(19.45±2.47)points,Sleep quality score(12.18±2.09),quality of life score(33.29±4.08),left cerebral blood flow velocity(65.76±3.32)cm/s,right cerebral blood flow velocity(64.32±3.25)cm/s,more For the control group,P<0.05・Conclusion:In the clinical treatment of patients with mild vascular dementia,based on conventional drugs,combined with acupuncture and repetitive transcranial magnetic stimulation,the patients?cognitive function can be improved,and the quality of sleep and quality of life can be improved.Comprehensive clinical promotion.展开更多
Objective：To observe the event related potential 300 （P300） after scalp acupuncture treatment in patients with cognitive disorder due to cerebral infarction,and evaluate its therapeutic effect.Methods：Sixty-six pa...Objective：To observe the event related potential 300 （P300） after scalp acupuncture treatment in patients with cognitive disorder due to cerebral infarction,and evaluate its therapeutic effect.Methods：Sixty-six patients aged below 70 years old with cognitive disorder after initial onset of cerebral infarction were randomized into a treatment group and a control group.Conventional neurological drugs and physical trainings were prescribed to both groups.In addition,the treatment group received scalp acupuncture.The two groups were compared by evaluating the latency and amplitude of P300 before and after the 3-month treatment.Results：After treatment,the latency of P300 was shortened by 39.1 ms in the treatment group,versus 16.7 ms in the control group,and the difference was statistically significant （P0.05）.Conclusion：P300 can objectively evaluate the therapeutic effect of scalp acupuncture in treating the patients with cognitive disorder due to cerebral infarction.Scalp acupuncture has positive effect in treating this group of patients.展开更多
目的观察针刺联合耳穴贴压治疗骨髓瘤伴失眠的临床疗效及对认知功能、睡眠质量的影响。方法将160例骨髓瘤中重度疼痛合并失眠患者随机分为观察组(89例)与对照组(71例)。对照组采用常规药物治疗,观察组在对照组基础上采用针刺联合耳穴贴...目的观察针刺联合耳穴贴压治疗骨髓瘤伴失眠的临床疗效及对认知功能、睡眠质量的影响。方法将160例骨髓瘤中重度疼痛合并失眠患者随机分为观察组(89例)与对照组(71例)。对照组采用常规药物治疗,观察组在对照组基础上采用针刺联合耳穴贴压治疗。观察两组治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、简易智力状态检查量表(mini-mental state examination,MMSE)、日常生活活动能力(activity of daily living,ADL)量表、视觉模拟量表(visual analog scale,VAS)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)及汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分变化,并比较两组临床疗效及骨髓瘤患者认知功能与睡眠质量的关系。结果观察组总有效率为94.4%,显著高于对照组的80.3%,差异有统计学意义(P<0.05)。治疗后,两组PSQI和VAS评分均下降,且观察组低于对照组,差异均有统计学意义(P<0.05);两组MMSE和ADL评分均上升,且观察组高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组HAMD和HAMA评分均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。骨髓瘤患者认知功能与睡眠质量呈现显著正相关(P<0.05)。结论在常规药物基础上,针刺联合耳穴贴压治疗骨髓瘤伴失眠效果显著,能够有效提升患者睡眠质量及认知水平,改善疼痛及负性情绪。展开更多
The basic rule of traditional Chinese medicine,different diseases treated in the same way,refers to the phenomenon that treating different diseases with the same pathogenesis by adopting the same method,which has cons...The basic rule of traditional Chinese medicine,different diseases treated in the same way,refers to the phenomenon that treating different diseases with the same pathogenesis by adopting the same method,which has considerable guiding significance in acupuncture at Changqiang（长强 GV 1） during clinical practices.In this study,by integrating distal end therapeutic effect of meridians and collaterals and acupoints,and yin-yang of traditional Chinese medicine and signal pathway and biological holographic law of western medicine,the mechanism of acupuncture at GV 1 in treatment of multiple cognitive disorderrelated diseases was analyzed,so as to expand the application of acupuncture at GV 1.展开更多
Objective:To observe the effects of electroacupuncture(EA)on the protein and gene expressions of Bax,Caspase-3 and Bcl-2 in cerebral cortex of type 2 diabetic rats with cognitive impairment(CI),and to explore the mech...Objective:To observe the effects of electroacupuncture(EA)on the protein and gene expressions of Bax,Caspase-3 and Bcl-2 in cerebral cortex of type 2 diabetic rats with cognitive impairment(CI),and to explore the mechanism of EA in improving the learning and memory abilities.Methods:A total of 100 Sprague-Dawley(SD)rats were divided into a normal group(n=10)and a model group(n=90)by random number table method.Rats in the model group were intraperitoneally injected with a small dose of streptozotocin(STZ)to establish the type 2 diabetic models,after being fed with high-fat and high-sugar diet for 1 month.Twenty CI rats were selected from the 50 successful model rats by the Morris water maze(MWM)test and randomly divided into a model group and an EA group according to the blood glucose level and MWM data(n=10).Rats in the EA group received acupuncture at Zusanli(ST 36),Neiting(ST 44)and Yishu(Extra),of which Zusanli(ST 36)and Neiting(ST 44)were stimulated by EA apparatus,20 min/time,once a day for 6 d a week and 4 consecutive weeks.The rats in the model and the normal groups were fixed without treatment.After 4-week treatment,the random blood glucose level of the rats was measured;the learning and memory abilities of rats were measured by MWM;terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling(TUNEL)assay was used to detect apoptotic cells;Western blot(WB)and real-time quantitative polymerase chain reaction(RT-qPCR)were used to detect the protein and gene expressions of Bax,Caspase-3 and Bcl-2 in cerebral cortex.Results:After modeling,the random blood glucose level and the escape latency tested by MWM were significantly increased,and the number of crossing the platform tested by the MWM was decreased in the EA and model groups,and were significantly different from those in the normal group(P<0.05 or P<0.01),while the differences between the model group and the EA group were not statistically significant(all P>0.05).After 4-week treatment,the random glucose level and the escape latency tested by MWM were significantly increased(both P<0.05),and the number of crossing the original platform tested by the MWM was significantly reduced(P<0.01),the protein and gene expressions of Bax and Caspase-3 were significantly increased(all P<0.001),the protein and gene expressions of Bcl-2 were significantly reduced(both P<0.001),and the number of neuron apoptosis was significantly increased(P<0.001)in the model group than in the normal group;the random blood glucose level was significantly reduced(P<0.05),the escape latency tested by MWM was significantly shortened(P<0.05),and the number of crossing the original platform tested by MWM was significantly increased(P<0.05),the protein and gene expressions of Bax and Caspase-3 were significantly reduced(all P<0.001),the protein and gene expressions of Bcl-2 were significantly increased(both P<0.001),and the number of neuron apoptosis was significantly reduced(P<0.001)in the EA group than in the model group.Conclusion:EA can improve the learning and memory damages induced by type 2 diabetic model rats with CI;the action mechanism may be achieved via anti-apoptosis.展开更多
文摘Objective:To explore the clinical effects of acupuncture and repeated transcranial magnetic stimulation in patients with mild vascular dementia.Method:From May 2020 to May 2021,40 patients with mild vascular dementia in Harbin Fourth Hospital(our hospital)were divided into the experimental group(20 cases,using conventional drugs+acupuncture+repeated transcranial magnetic stimulation)and the control group(20 cases,for example,the application of conventional medication).The improvement of cognitive function score,sleep quality score,quality of life score,and cerebral hemodynamics before and after treatment were compared between the two groups.Result:Before treatment,the difference in cognitive function score,sleep quality score,quality of life score,and cerebral hemodynamic index between the two groups of patients did not form,that is,p>0.05;after treatment,the experimental group5s cognitive function score was(19.45±2.47)points,Sleep quality score(12.18±2.09),quality of life score(33.29±4.08),left cerebral blood flow velocity(65.76±3.32)cm/s,right cerebral blood flow velocity(64.32±3.25)cm/s,more For the control group,P<0.05・Conclusion:In the clinical treatment of patients with mild vascular dementia,based on conventional drugs,combined with acupuncture and repetitive transcranial magnetic stimulation,the patients?cognitive function can be improved,and the quality of sleep and quality of life can be improved.Comprehensive clinical promotion.
基金supported by Scientific Research Project of Administration of Traditional Chinese Medicine of Guangdong Province (2008221)
文摘Objective：To observe the event related potential 300 （P300） after scalp acupuncture treatment in patients with cognitive disorder due to cerebral infarction,and evaluate its therapeutic effect.Methods：Sixty-six patients aged below 70 years old with cognitive disorder after initial onset of cerebral infarction were randomized into a treatment group and a control group.Conventional neurological drugs and physical trainings were prescribed to both groups.In addition,the treatment group received scalp acupuncture.The two groups were compared by evaluating the latency and amplitude of P300 before and after the 3-month treatment.Results：After treatment,the latency of P300 was shortened by 39.1 ms in the treatment group,versus 16.7 ms in the control group,and the difference was statistically significant （P0.05）.Conclusion：P300 can objectively evaluate the therapeutic effect of scalp acupuncture in treating the patients with cognitive disorder due to cerebral infarction.Scalp acupuncture has positive effect in treating this group of patients.
文摘目的观察针刺联合耳穴贴压治疗骨髓瘤伴失眠的临床疗效及对认知功能、睡眠质量的影响。方法将160例骨髓瘤中重度疼痛合并失眠患者随机分为观察组(89例)与对照组(71例)。对照组采用常规药物治疗,观察组在对照组基础上采用针刺联合耳穴贴压治疗。观察两组治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、简易智力状态检查量表(mini-mental state examination,MMSE)、日常生活活动能力(activity of daily living,ADL)量表、视觉模拟量表(visual analog scale,VAS)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)及汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分变化,并比较两组临床疗效及骨髓瘤患者认知功能与睡眠质量的关系。结果观察组总有效率为94.4%,显著高于对照组的80.3%,差异有统计学意义(P<0.05)。治疗后,两组PSQI和VAS评分均下降,且观察组低于对照组,差异均有统计学意义(P<0.05);两组MMSE和ADL评分均上升,且观察组高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组HAMD和HAMA评分均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。骨髓瘤患者认知功能与睡眠质量呈现显著正相关(P<0.05)。结论在常规药物基础上,针刺联合耳穴贴压治疗骨髓瘤伴失眠效果显著,能够有效提升患者睡眠质量及认知水平,改善疼痛及负性情绪。
基金National Natural Science Foundation of China:81373720Collaborative project of Institute of Acupuncture and Moxibustion of China Academy of Chinese Medical Sciences:zzkf08001
文摘The basic rule of traditional Chinese medicine,different diseases treated in the same way,refers to the phenomenon that treating different diseases with the same pathogenesis by adopting the same method,which has considerable guiding significance in acupuncture at Changqiang（长强 GV 1） during clinical practices.In this study,by integrating distal end therapeutic effect of meridians and collaterals and acupoints,and yin-yang of traditional Chinese medicine and signal pathway and biological holographic law of western medicine,the mechanism of acupuncture at GV 1 in treatment of multiple cognitive disorderrelated diseases was analyzed,so as to expand the application of acupuncture at GV 1.
文摘Objective:To observe the effects of electroacupuncture(EA)on the protein and gene expressions of Bax,Caspase-3 and Bcl-2 in cerebral cortex of type 2 diabetic rats with cognitive impairment(CI),and to explore the mechanism of EA in improving the learning and memory abilities.Methods:A total of 100 Sprague-Dawley(SD)rats were divided into a normal group(n=10)and a model group(n=90)by random number table method.Rats in the model group were intraperitoneally injected with a small dose of streptozotocin(STZ)to establish the type 2 diabetic models,after being fed with high-fat and high-sugar diet for 1 month.Twenty CI rats were selected from the 50 successful model rats by the Morris water maze(MWM)test and randomly divided into a model group and an EA group according to the blood glucose level and MWM data(n=10).Rats in the EA group received acupuncture at Zusanli(ST 36),Neiting(ST 44)and Yishu(Extra),of which Zusanli(ST 36)and Neiting(ST 44)were stimulated by EA apparatus,20 min/time,once a day for 6 d a week and 4 consecutive weeks.The rats in the model and the normal groups were fixed without treatment.After 4-week treatment,the random blood glucose level of the rats was measured;the learning and memory abilities of rats were measured by MWM;terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling(TUNEL)assay was used to detect apoptotic cells;Western blot(WB)and real-time quantitative polymerase chain reaction(RT-qPCR)were used to detect the protein and gene expressions of Bax,Caspase-3 and Bcl-2 in cerebral cortex.Results:After modeling,the random blood glucose level and the escape latency tested by MWM were significantly increased,and the number of crossing the platform tested by the MWM was decreased in the EA and model groups,and were significantly different from those in the normal group(P<0.05 or P<0.01),while the differences between the model group and the EA group were not statistically significant(all P>0.05).After 4-week treatment,the random glucose level and the escape latency tested by MWM were significantly increased(both P<0.05),and the number of crossing the original platform tested by the MWM was significantly reduced(P<0.01),the protein and gene expressions of Bax and Caspase-3 were significantly increased(all P<0.001),the protein and gene expressions of Bcl-2 were significantly reduced(both P<0.001),and the number of neuron apoptosis was significantly increased(P<0.001)in the model group than in the normal group;the random blood glucose level was significantly reduced(P<0.05),the escape latency tested by MWM was significantly shortened(P<0.05),and the number of crossing the original platform tested by MWM was significantly increased(P<0.05),the protein and gene expressions of Bax and Caspase-3 were significantly reduced(all P<0.001),the protein and gene expressions of Bcl-2 were significantly increased(both P<0.001),and the number of neuron apoptosis was significantly reduced(P<0.001)in the EA group than in the model group.Conclusion:EA can improve the learning and memory damages induced by type 2 diabetic model rats with CI;the action mechanism may be achieved via anti-apoptosis.
